<{include file="public_html/header.html"}>
<{include file="public_html/left_menu.html"}>

<blockquote class="layui-elem-quote"><{$action}></blockquote>

<form class="layui-form layui-form-pane" method="post" id="form_add_role">
    <div class="layui-form-item">
        <label style="width:100px" class="layui-form-label">学校名称</label>
        <div class="layui-input-inline">
            <select name="school_id" lay-search="" lay-verify="required" id="school_id" placeholder="学校名称" lay-filter="subject">
                <option value="">学校名称</option>
                <{foreach from=$school item=item}>
                    <option value="<{$item.id}>"><{$item.school_name}></option>
                <{/foreach}>
            </select>
        </div>
    </div>
    <div class="layui-form-item">
        <label style="width:100px" class="layui-form-label">数量</label>
            <div class="layui-input-inline">
                <input type="text" value="" name="num" placeholder="请输入激活码数量" lay-verify="required" autocomplete="off" class="layui-input" style="width: 300px;">
            </div>
    </div>
    <div class="layui-form-item">
        <label style="width:100px" class="layui-form-label">结算单价</label>
            <div class="layui-input-inline">
                <input type="text" value="" name="price" placeholder="请输入结算单价" lay-verify="required" autocomplete="off" class="layui-input" style="width: 300px;">
            </div>
    </div>
    <div class="layui-form-item layui-form-text">
        <label class="layui-form-label">备注</label>
        <div class="layui-input-block">
            <textarea name="remarks" placeholder="请输入备注" class="layui-textarea"></textarea>
        </div>
    </div>
    <div class="layui-input-block">
        <button class="layui-btn" lay-submit lay-filter="*">立即提交</button>
        <button type="reset" class="layui-btn layui-btn-primary">重置</button>
    </div>
</form>
<{include file="public_html/footer.html"}>